Active NPI
Carlin Williams, M.D.
- Vascular Surgery Physician
- Charlottesville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 0101258238
- Practice address
- 1215 Lee St FL 2
Charlottesville, VA 22908-1617 - Phone
- (434) 243-1000
- Fax
- (434) 244-7551
- NPI assigned
- Jul 1, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 00000000000000000 | DC | |
| Vascular Surgery Physician | 2086S0129X | 0101258238 | VA | Primary |
Addresses
Primary practice location
1215 Lee St FL 2
Charlottesville, VA 22908-1617
Mailing address
PO Box 9007
Charlottesville, VA 22906-9007
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Loma Linda University School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11711 Livingston Rd
Fort Washington, MD 20744-5151
Phone (301) 310-6802
Hospital & facility affiliations
- Adventist Healthcare Fort Washington Medical Ctr
- Adventist Healthcare White Oak Medical Center
- Luminis Health Doctors Community Medical Ctr, Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 64 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00000000000000000 | DC | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Physician Services, Inc. | Current | Accepting new patients | |
| Adventist Physician Services (Wah) | Past | Accepting new patients |
Locations
10709 Indian Head Hwy
Ste D
Ft Washington, MD 20744
Phone (240) 493-9650
11711 Livingston Rd
Ft Washington, MD 20744
Phone (301) 203-2250
820 W Diamond Ave
Ste 500
Gaithersburg, MD 20878
820 W Diamond Ave
Gaithersburg, MD 20878
Phone (301) 315-3030
9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Gaithersburg, MD
- NPI 1376623207
DC
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Charlottesville, VA
- NPI 1033138250
-
- Cardiovascular Disease Physician
- Rockville, MD
- NPI 1144247024
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ft Washington, MD
- NPI 1932146461
-
- General Acute Care Hospital
- Silver Spring, MD
- NPI 1487650024
-
- General Acute Care Hospital
- Lanham, MD
- NPI 1730136532
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503014400000",
"number": "1407084247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9007",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229069007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 LEE ST FL 2",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229081617",
"telephone_number": "434-243-1000",
"fax_number": "434-244-7551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "CARLIN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-01",
"last_updated": "2017-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "DC",
"license": "00000000000000000",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "VA",
"license": "0101258238",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.